• Welcome to the Chronicle Forums.
    Please complete your profile. The forums and the rest of www.chronofhorse.com has single sign-in, so your log in information for one will automatically work for the other. Disclaimer: The opinions expressed here are the views of the individual and do not necessarily reflect the views and opinions of The Chronicle of the Horse.

Announcement

Collapse

Forum rules and no-advertising policy

As a participant on this forum, it is your responsibility to know and follow our rules. Please read this message in its entirety.

Board Rules

1. You’re responsible for what you say.
As outlined in Section 230 of the Communications Decency Act, The Chronicle of the Horse and its affiliates, as well Jelsoft Enterprises Ltd., the developers of vBulletin, are not legally responsible for statements made in the forums.

This is a public forum viewed by a wide spectrum of people, so please be mindful of what you say and who might be reading it—details of personal disputes are likely better handled privately. While posters are legally responsible for their statements, the moderators may in their discretion remove or edit posts that violate these rules. Users have the ability to modify or delete their own messages after posting, but administrators generally will not delete posts, threads or accounts upon request.

Outright inflammatory, vulgar, harassing, malicious or otherwise inappropriate statements and criminal charges unsubstantiated by a reputable news source or legal documentation will not be tolerated and will be dealt with at the discretion of the moderators.

2. Conversations in horse-related forums should be horse-related.
The forums are a wonderful source of information and support for members of the horse community. While it’s understandably tempting to share information or search for input on other topics upon which members might have a similar level of knowledge, members must maintain the focus on horses.

3. Keep conversations productive, on topic and civil.
Discussion and disagreement are inevitable and encouraged; personal insults, diatribes and sniping comments are unproductive and unacceptable. Whether a subject is light-hearted or serious, keep posts focused on the current topic and of general interest to other participants of that thread. Utilize the private message feature or personal email where appropriate to address side topics or personal issues not related to the topic at large.

4. No advertising in the discussion forums.
Posts in the discussion forums directly or indirectly advertising horses, jobs, items or services for sale or wanted will be removed at the discretion of the moderators. Use of the private messaging feature or email addresses obtained through users’ profiles for unsolicited advertising is not permitted.

Company representatives may participate in discussions and answer questions about their products or services, or suggest their products on recent threads if they fulfill the criteria of a query. False "testimonials" provided by company affiliates posing as general consumers are not appropriate, and self-promotion of sales, ad campaigns, etc. through the discussion forums is not allowed.

Paid advertising is available on our classifieds site and through the purchase of banner ads. The tightly monitored Giveaways forum permits free listings of genuinely free horses and items available or wanted (on a limited basis). Items offered for trade are not allowed.

Advertising Policy Specifics
When in doubt of whether something you want to post constitutes advertising, please contact a moderator privately in advance for further clarification. Refer to the following points for general guidelines:

Horses – Only general discussion about the buying, leasing, selling and pricing of horses is permitted. If the post contains, or links to, the type of specific information typically found in a sales or wanted ad, and it’s related to a horse for sale, regardless of who’s selling it, it doesn’t belong in the discussion forums.

Stallions – Board members may ask for suggestions on breeding stallion recommendations. Stallion owners may reply to such queries by suggesting their own stallions, only if their horse fits the specific criteria of the original poster. Excessive promotion of a stallion by its owner or related parties is not permitted and will be addressed at the discretion of the moderators.

Services – Members may use the forums to ask for general recommendations of trainers, barns, shippers, farriers, etc., and other members may answer those requests by suggesting themselves or their company, if their services fulfill the specific criteria of the original post. Members may not solicit other members for business if it is not in response to a direct, genuine query.

Products – While members may ask for general opinions and suggestions on equipment, trailers, trucks, etc., they may not list the specific attributes for which they are in the market, as such posts serve as wanted ads.

Event Announcements – Members may post one notification of an upcoming event that may be of interest to fellow members, if the original poster does not benefit financially from the event. Such threads may not be “bumped” excessively. Premium members may post their own notices in the Event Announcements forum.

Charities/Rescues – Announcements for charitable or fundraising events can only be made for 501(c)(3) tax-exempt organizations. Special exceptions may be made, at the moderators’ discretion and direction, for board-related events or fundraising activities in extraordinary circumstances.

Occasional posts regarding horses available for adoption through IRS-registered horse rescue or placement programs are permitted in the appropriate forums, but these threads may be limited at the discretion of the moderators. Individuals may not advertise or make announcements for horses in need of rescue, placement or adoption unless the horse is available through a recognized rescue or placement agency or government-run entity or the thread fits the criteria for and is located in the Giveaways forum.

5. Do not post copyrighted photographs unless you have purchased that photo and have permission to do so.

6. Respect other members.
As members are often passionate about their beliefs and intentions can easily be misinterpreted in this type of environment, try to explore or resolve the inevitable disagreements that arise in the course of threads calmly and rationally.

If you see a post that you feel violates the rules of the board, please click the “alert” button (exclamation point inside of a triangle) in the bottom left corner of the post, which will alert ONLY the moderators to the post in question. They will then take whatever action, or no action, as deemed appropriate for the situation at their discretion. Do not air grievances regarding other posters or the moderators in the discussion forums.

Please be advised that adding another user to your “Ignore” list via your User Control Panel can be a useful tactic, which blocks posts and private messages by members whose commentary you’d rather avoid reading.

7. We have the right to reproduce statements made in the forums.
The Chronicle of the Horse may copy, quote, link to or otherwise reproduce posts, or portions of posts, in print or online for advertising or editorial purposes, if attributed to their original authors, and by posting in this forum, you hereby grant to The Chronicle of the Horse a perpetual, non-exclusive license under copyright and other rights, to do so.

8. We reserve the right to enforce and amend the rules.
The moderators may delete, edit, move or close any post or thread at any time, or refrain from doing any of the foregoing, in their discretion, and may suspend or revoke a user’s membership privileges at any time to maintain adherence to the rules and the general spirit of the forum. These rules may be amended at any time to address the current needs of the board.

Please see our full Terms of Service and Privacy Policy for more information.

Thanks for being a part of the COTH forums!

(Revised 1/26/16)
See more
See less

Warmth and swelling while rehabbing suspensory injury? Normal?

Collapse
X
  • Filter
  • Time
  • Show
Clear All
new posts

  • Warmth and swelling while rehabbing suspensory injury? Normal?

    One of my ponies began looking NQR and developed heat and major swelling around his LH fetlock. Had vet out in August to ultrasound. Diagnosed a minor tear to the lower suspensory branch. It showed as fiber disruption on the ultrasound. (I believe this would be called a grade 2 lesion?) Vet advised not to do stem cell or PRP since no core lesion was present. Horsey was on stall rest for the first month, then handwalked 20-30 minutes per day. Began turning out a couple hours at a time in October, up to full day turnout by the beginning of November. (and has been since) Recurring ultrasounds showed excellent healing (even faster than the vet expected) Externally, he did develop a couple windpuffs and some thickening around the tendon area, once initial heat + swelling was gone.

    The vet was out to re-ultrasound at the beginning of this month (December). She said the ultrasound was completely clean, wasn't able to see any scar tissue, or even evidence of previous injury on ultrasound. The vet cleared him to start back under saddle, and bring him back into full work over the next 2 months. (She advised starting him at 20min of tack walking, adding trotting after a couple weeks, and starting him at 1-2min of canter by the end of first month) I decided to go for a bit slower rehab schedule, and started building up his walking time on the ground, and under saddle about 2 weeks ago. I also began building up his trotting time while ground-driving. He seems completely sound, and I have not noticed any difference soundness wise since I've started working him.

    Anyways, about a week or so ago (I'm bad at remembering), I noticed some warmth and thickening around the tendon area. Not hot, but definitely a temperature disparity between his two legs. Leg was slightly puffy, but nowhere near what is was when he originally injured himself. (Note that his bad leg almost always has some degree of thickening/windpuffs if not kept wrapped since his injury)

    I freaked out thinking he might have re-injured himself, and called the vet right away. When I spoke to the vet, she said that the warmth + swelling is probably from adhesions or scar tissue breaking up. As long as he doesn't develop actual heat in the leg, and it goes away after a couple days, its probably fine. She said to keep working him, and continue with my rehab schedule.

    Warmth + swelling go away, and I'm left thinking "whew, all clear" ..... Nope.

    Horsey is good for a day, then warmth + swelling comes back again, and goes away 1-2 days later. The cycle seems to repeat itself. Soundness has been exactly the same. Horsey seems perfectly forward, and is starting to get back his floaty trot. He seems to usually develop warmth in his leg after work, but sometimes it will go away the next day with work.

    Amount of work doesn't seemed to matter. A few days ago, I did a mini-lesson. (pony is a baby-greenie, and I suck at long-lining, and needed a refresher course) I cheated and worked him more than he has been. (longer period of walking, and *gulp* trotted some large circles.) Completely fine afterwards, leg is cool and tight. Then yesterday I handwalked him for 15 minutes, trotted a couple long sides each direction, and his leg is warm again already!!!

    I'm just wondering, is this normal? Is it possible that he has re injured himself? I keep reading that any changes in the leg while rehabbing is bad news. It makes sense that there would be warmth and swelling if its scar tissue or adhesions breaking up, but I'm concerned over how frequently this is happening!
    Last edited by Haffy Hop; Dec. 31, 2010, 11:02 PM.

  • #2
    I've been through this a few times myself, and I'm sorry you have to deal with a suspensory injury, HaffyHop.

    In short answer: Yes, it is quite common to have these sorts of minor setbacks during the looooonnnnggg rehab necessary to properly heal a suspensory injury. I wouldn't call it "normal," but it's common.

    That said, based on my experience, you are moving pretty quickly with your pony. Yes, you are following the vet's instructions. However, I've found that going even slower than the best lameness vets in the country advise is a surer and smoother path.

    For instance, after your 30 days of strict stall rest and 30 days of rest with handwalking, assuming a clean u/s and no signs of heat or swelling, I would do a full 30 days of gradually increasing walk work only. For the next 30 days, I would add short trots on straight lines; start with 1 minute (broken up into 10-15 second stretches) per workout and sloooowwwly increase that. So now, you see, you are 4 months out from the original injury, still no circle work (longeing is right out!) and no canter under saddle.

    Anytime any warmth or filling shows up, apply cold, limit movement (don't eliminate, just limit it to a smaller paddock with flat ground; avoid buck-n-fart scenarios and boggy/deep footing), and when the leg is cool and quiet again, take a couple of steps back in the work and slowly rebuild. No "cheating," no sudden increases in work! You are inching up by minutes every few rides, no more!

    My most successful rehabs were close to a full year post-injury before full work (w-t-c, jumping, showing, long trail rides, etc.) was achieved. This is definitely the type of injury where you will get their faster by going slower!
    Equinox Equine Massage

    In the depth of winter, I finally learned that there was in me invincible summer.
    -Albert Camus

    Comment


    • #3
      i agree with coloredhorse. seems you're moving pretty fast. and i guess it wouldn't matter except that now you have this heat swelling to contend with which may mean that the amount of work is causing some inflammation in the injury area.

      having dealt with 2 serious hind suspensory injuries and then subsequent irritation to the area of injury in one of them, i've learned to be v. cautious and slow. i'd also suggest that you take it easy with circles. the torquing action puts a lot of strain on those suspensory branches.
      http://www.eponashoe.com/
      TQ(Trail Queen) \"Learn How to Ride or Move Over!!\" Clique

      Comment


      • #4
        Colored horse gives you very excellent advice.

        I think the year scenario is about right according to my own experience. My very good lameness vet initially said 3 months. Now, at 3 months he was in pretty good shape, felt sound and solid. I overdid it with him, and ended up more or less back at square one. After that we went very, very slowly. Three months off completely with controlled T/O. 3 months of walking on hard surfaces in straight lines. Then adding in short trot session--still on hard surfaces. I think it was 7 months before we went back in the arena at all, and then another couple of months before we were doing canter circles. And lunging is largely a thing of the past. He's doing great now.

        I have two friends who deal with recurrent suspensory injuries. Neither of them will step back and give the horse time to heal completely. At 3 months, every time, they are both saying, OK feels good back in full work, and boom, a couple of months later, the same problem arises. Both horses need to get some serious time off and then be on a walking program on hard surfaces for months, but it isn't going to happen.

        Comment


        • #5
          Again, coloredhorse gives great advice. As one of my vets (and others) said about another vet: take that program and double it. Any heat or sensitivity, means you need to take a step back and reevaluate your program. I've also seen people try to up the suspensory program too quickly. They end up bringing their horse back into work 2-3 times and then giving up. In the same amount of time, they might have had a sound horse. Be patient.

          Comment


          • #6
            Just another poster here who agrees with the others in advising to slow it down. It took our horse a full year and a half before he is now packing beginners around at w/t/c and some little tiny jumps. He had a major setback 4 months into his rehab (shockwave, stall rest, handwalking and then walking u/s) from his initial tear. After that, we just turned him out and left him alone for about a year. It was hard because he would look so great out galloping and ripping around, but vet advised just leaving him alone.

            I wish you the best of luck!

            Comment


            • #7
              Agreed that it takes close to a year to fully and properly rehab a suspensory injury. Been there, done that. It's a painstaking process, but very rewarding if you take the time to get it done right the first time. I also rehabbed my horse all the way up to full flatwork under saddle before he got turned out at all. Views differ regarding this approach, but I have been very happy with the results of my horse's rehab. Suspensory branch injuries are generally trickier/more serious than high/mid-body suspensory injuries, so that is something else to consider.

              Now...on to your actual question. At times during my horse's (very slow, meticulous) under saddle rehab, I did note some very mild warmth or puffiness in the affected leg. And, really, even to this day, it is slightly different from the other leg. No one else would notice, really, I'm positive. I just notice because I've had him since he was 3 and a half and I know his legs like a topograpical map. I freaked out the first time I noticed warmth/puffiness and the vet said it was not necessarily abnormal and to continue with what we were doing unless it got worse or he became lame. However, we were very conservatively paced, and he was getting ultrasounded almost every month, so there was not a ton of risk that I was going to cause a ton of damage between vet visits if I just kept on with our slow rehab work.

              You're not too far into this injury yet. As you move along with the rehab you will develop a better sense of what is normal and what is cause for concern with your particular horse. I know that's not particularly helpful, but I do think it is the truth. It's just one of those things that you sort of learn as you go.

              Good luck to you. I wouldn't wish a suspensory injury on my worst enemy. The year or so rehabbing my horse was a very stressful time, so I definitely feel for you.

              Comment

              Working...
              X